Leonard H Lazarus Md Inc | |
7450 Olivetas Ave La Jolla CA 92037-4902 | |
(858) 454-7157 | |
(858) 450-5284 |
Full Name | Leonard H Lazarus Md Inc |
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Speciality | Internal Medicine |
Location | 7450 Olivetas Ave, La Jolla, California |
Authorized Official Name and Position | Leonard Hillel Lazarus (PHYSICIAN) |
Authorized Official Contact | 8584542317 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Leonard H Lazarus Md Inc 7450 Olivetas Ave La Jolla CA 92037-4902 Ph: (858) 454-7157 | Leonard H Lazarus Md Inc 7450 Olivetas Ave La Jolla CA 92037-4902 Ph: (858) 454-7157 |
NPI Number | 1295013431 |
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Provider Enumeration Date | 07/21/2011 |
Last Update Date | 10/07/2011 |
Medicare PECOS PAC ID | 7416126396 |
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Medicare Enrollment ID | O20110810000334 |
Identifier | Type | State | Issuer |
---|---|---|---|
1295013431 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | A40022 (California) | Primary |
Provider Name | Leonard H Lazarus |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1851314413 PECOS PAC ID: 2769651645 Enrollment ID: I20110810000376 |
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